Individual ProviderRaybert Llorente FuentesGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address8201 N Dale Mabry Hwy Ste B2, Tampa, FL 33614-2795(813) 933-7805(813) 444-5838PECOS EnrollmentBased on the most recent information from CMS, provider Raybert Llorente Fuentes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1053969691Provider TypeIndividualFull NameLlorente Fuentes, RaybertTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date8/27/2019Last Updated2/2/2023Contact InformationPractice LocationPractice Address8201 N Dale Mabry Hwy Ste B2, Tampa, FL 33614-2795Phone(813) 933-7805Fax(844) 388-6186Mailing LocationMailing Address601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925Phone(813) 444-5838Fax(833) 495-7206Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseACN1248FloridaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense021528Puerto Rico